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NPI Code Detail

MEDICARE: S H AHMED MD PHD INC

MEDICARE: S H AHMED MD PHD INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology PhysicianA54334CA

General Provider Information

NPI Number : 1386955383
Entity Type Code : Organization
Provider Name (Legal Business Name) : S H AHMED MD PHD INC
Provider Business Mailing Address
First Line : PO BOX 23058
Second Line :
City : SAN DIEGO
State : CA
Zip : 92193-3058
Country : US
Telephone Number : 760-335-3030
Fax Number : 760-335-3035
Provider Business Practice Location Address
First Line : 1271 ROSS AVE
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-4304
Country : US
Telephone Number : 760-335-3030
Fax Number : 760-335-3035
Authorized Official
Title or Position : PRESIDENT
Name : DR. SYED HASNAT AHMED
Credential : MD
Telephone Number : 760-335-3030
Provider Enumeration Date : 06/24/2010
Last Update Date : 05/27/2020

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